SMA Pro Gold Prem Number 2 Baby Milk, 400 g

Product Information

It is important to bear in mind that donor milk is a human body fluid and as such carries risks of transmission of infective agents. All donor screening, handling, testing and processing of DBM in the Milk Bank is carried out according to NICE Guidelines (64). Documentation and traceability of DBM is essential, particularly when milk is transported from a central milk bank to a recipient neonatal unit. These routine supplements should be continued at least until the baby is on a good mixed weaning diet including foods rich in iron, such as meat and green vegetables – this is usually until around 1 year chronological age. Withholding feeds is a significant decision for infants in the NICU, particularly extremely low birth weight infants and is a contributor to poor growth in the preterm infant. (21) Calories and nutrients can be more safely and more easily delivered by enteral feeds than by intravenous nutrition, without increased cost and increased risks of complications.

Hill P.D et al (2001) Initiation and frequency of pumping and milk production in mothers of non-nursing preterm infants. J Hum Lact; 17(1) 9-13

SMA Gold Prem® 1

All infants should be accurately weighed at birth with note taken of any oedema present. Head circumference should be measured on the day of birth and both parameters plotted on a 2009 UK-WHO Close Monitoring Charts via paper charts or electronic method (Badgernet or iGrow).

Preterm is defined as infants born at or before 37 weeks of pregnancy. Infants who are born prematurely weight much less than term infants, this is because a significant amount of baby’s weight gain occurs between 36 and 40 weeks of pregnancy.

SMA Gold Prem® 2

The most recent evidence from the SIFT study showed that slow advancement of feeding in very low birthweight infants did not reduce the risk of NEC showing no advantage in increasing at 18ml/kg/day versus 30ml/kg/day. (14) Continue Probiotics until around 34 weeks corrected age (earlier or later discontinuation at consultant discretion)

Embleton NE, Pang N, Cooke RJ. Post-natal malnutrition and growth retardation: an inevitable consequence of current recommendations in preterm infants? Pediatrics 2001;107:270–3.

Conversely volume increases above 180ml/kg should only be implemented once consideration has been given to the range of other factors known to impact on growth:

Mix each Gaviscon Infant sachet with 5 ml (1 teaspoon) of cooled boiled water until a smooth paste is formed. SMA Gold Prem ® 2 is a special catch-up formula intended for the dietary management of preterm low birthweight babies who are not solely fed breast milk. It is a nutritionally complete formula for use on discharge from hospital or when a low birthweight formula is no longer appropriate. It is suitable for use as the sole source of nutrition up to 6 months corrected age. Lactose (MILK) Vegetable Oils Including Structures Vegetable Oil (Sunflower, Palm, Rapeseed, Coconut), Maltodextrin, Partially Hydrolysed Whey Protein (MILK), Calcium Phosphate, Long Chain Polyunsaturated Fatty Acids (AA,DHA), Potassium Hydroxide, Magnesium Chloride, Potassium Phosphate, Sodium Hydroxide, Potassium Chloride, Chlorine Bitartrate, Calcium Chloride, Vitamin C, Inositol, L-Arginine, Acidity Regulator (Citric Acid), Taurine, Ferrous Sulphate, Nucleotides (Cytidine-Disodium Uridine, Adenosine-Disodium Guanosine-5-Monophosphate), Vitamin D, Zinc Sulphate, L-Carnitine, Antioxidants, (Ascorbyl Palmitate, Tocopherol-Rich-Extract), Pantothenic Acid, Niacin, Riboflavin, Copper Sulphate, Thiamin, Vitamin A, Vitamin B 6, Maganese Sulphate, Folic Acid, Potassium Iodide, Vitamin D, Vitamin K, Vitamin B 12,Biotin, Sodium Selenate Bolus feeding enhances protein synthesis more than continuous feeding, and promotes greater protein anabolism (29,30) Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make the baby ill.Cobb B.A. Et al (2004) Gastric residuals and their relationship to necrotising enterocolitis in very low birth weight infants. Pediatrics, Jan;113(1Pt 1):50-3 Place cap on container, gently shake the container until the powder is fully dissolved. Feed immediately. SMA Gold Prem ® Breast Milk Fortifier can be given from a bottle or via a naso-gastric tube. Discard any milk remaining after each feed. Breast milk is best for babies and breastfeeding should continue for as long as possible. SMA ® PRO Follow-on Milk/SMA ® ADVANCED Follow-on Milk/LITTLE STEPS ® Follow-on Milk is for babies over six months, as part of a varied weaning diet. Not intended to replace breastfeeding. Thereafter feed volumes should be advanced daily by increments of 30-40ml/kg/day, as tolerated, until the maximum required feed volume is achieved. Volumes >180ml/kg are not usually necessary and other reasons for poor growth should be sought before further volume increases are introduced.(Appendix 1)